Organization · Type 2 NPI

Youth Life Services, LLC

Clinical Social Worker · Fredericksburg, VA

NPI number 1194331918 Active

Practice location

10908 Courthouse Rd Ste 102149
Fredericksburg, VA 22408-2658

Call (540) 210-7624 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194331918

Youth Life Services, LLC's National Provider Identifier is 1194331918, issued on Sep 17, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fredericksburg, VA. The record was last updated on Jan 21, 2026.